Feedback Form

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Feedback Form

This form can be completed anonymously, but there is an opportunity to add your name at the end. All responses will help us to improve our services.

What did we help you with?

How satisfied were you with what we did for you? *

Very satisfied

Satisfactory

Dis-satisfied

Comments

Did you find it difficult to contact us?

Yes

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Comments

Have you visited our website?

Yes

No internet access

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Did you find what you were looking for on our website?

Yes

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Comments

How did you find our service in terms of listening to you and understanding your problems?

Outstanding

Good

Poor

Clear selection

Comments

Do you have a better awareness of the services and activities that are available to help you?

Yes

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Comments

Do you have a better understanding of your options to help you manage your disability or long/term condition?

Yes

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Comments

After being in contact with A4U do you feel more confident in managing your disability or long term condition?

Yes

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Comments

How the the help from A4U affect you? Please tick all that apply.

I felt someone was listening to me

My personal circumstances improved

My stress and anxiety improved

I felt more confident

I was able to plan for my future

None of these

Comments

Our service is free, however it costs £75 per hour to provide services at A4U. If we had to request financial contributions, how much would you be willing to pay towards the costs of the services you received from us?

£20

£50

£100

£250

I would be unable to make any contribution

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Comments

Please add any other comments you would like to make about the services A4U provide.

If you would like to give us your name please do so below. However, this is not required for us to use your feedback.

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